Active NPI
Marcia Carolyn Bean, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Bangor, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP111086
- Practice address
- 268 Stillwater Ave
Bangor, ME 04401 - Phone
- (207) 973-6860
- Fax
- (207) 973-6040
- NPI assigned
- Nov 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP111086 | ME | Primary |
Addresses
Primary practice location
268 Stillwater Ave
Bangor, ME 04401
Mailing address
269 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6860
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120225000109 | ME | Practitioner - Nurse Practitioner | 1355509175 | Reassigns benefits to 11 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Acadia Hospital Corp.Eastern Maine Medical Center
Practice addresses (Care Compare)
268 Stillwater Ave
Bangor, ME 04401-3945
Phone (207) 973-6100
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
Hospital & facility affiliations
- Northern Light Eastern Maine Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP111086 | ME | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MRH Corp. | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Current | Accepting new patients | |
| Charles a Dean Memorial Hospital | Current | Accepting new patients | |
| The Blue Hill Memorial Hospital | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Acadia Hospital Corp | Current | Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| MRH Corp. | Current | Accepting new patients | |
| Eastern Maine Healthcare Systems | Current | Accepting new patients | |
| Acadia Healthcare, Inc | Current | Accepting new patients | |
| The Aroostook Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients |
Locations
268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470
489 State St
Bangor, ME 04401
Phone (207) 973-8837
23 Water St
Ste 203
Bangor, ME 04401
Phone (207) 973-6620
57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400
43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326
897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734
140 Academy St
Presque Isle, ME 04769
Phone (207) 768-4000
22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200
200 Kennedy Memorial Dr
Waterville, ME 04901
Phone (207) 861-3000
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bangor, ME
- NPI 1568477297
ME
-
- Medicare Defined Swing Bed Hospital Unit
- Greenville, ME
- NPI 1104834977
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Medicare Defined Swing Bed Hospital Unit
- Dover Foxcroft, ME
- NPI 1548463623
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Presque Isle, ME
- NPI 1982723037
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322438400000",
"number": "1992072508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 STILLWATER AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-6860",
"fax_number": "207-973-6040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "268 STILLWATER AVE",
"city": "BANGOR",
"state": "ME",
"postal_code": "04401",
"telephone_number": "207-973-6860",
"fax_number": "207-973-6040"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "MARCIA",
"middle_name": "CAROLYN",
"name_prefix": "Mrs.",
"credential": "PMHNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-11-28",
"last_updated": "2011-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "ME",
"license": "AP111086",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.